Individual provider Active NPI

Audra Lee Poggi, PHARM. D.

  • Pharmacist
  • Mankato, MN
National Provider Identifier
1083995260
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
120794 Issued in MN
Practice address
1850 Adams St
T-0663
Mankato, MN 56001-4864
Phone
(507) 625-9009
Fax
(507) 625-9009
NPI assigned
Sep 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-15545 KS
Pharmacist 183500000X 120794 MN Primary

Addresses

Primary practice location

1850 Adams St
T-0663
Mankato, MN 56001-4864

Mailing address

1850 Adams St
T-0663
Mankato, MN 56001-4864

Other names 1

  • Audra Lee Fischer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
1-15545KSMDPharmacist
120794MNMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1083995260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 ADAMS ST",
            "address_2": "T-0663",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 ADAMS ST",
            "address_2": "T-0663",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014864",
            "telephone_number": "507-625-9009",
            "fax_number": "507-625-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGGI",
        "first_name": "AUDRA",
        "middle_name": "LEE",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-15545",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "120794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDRA",
            "last_name": "FISCHER",
            "middle_name": "LEE",
            "credential": "PHARM. D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.